Equipped with Chris Brooks

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The information provided on this form is my personal checking account information. The Moody Bible Institute of Chicago will make a one-time withdrawal today, which is the authorization date, as an ACH debit to my account, and is expected to be completed within three to five business days. To cancel this withdrawal, email DRM@moody.edu or call 877/376-21946 during business hours, Monday through Friday, 8:00 AM to 4:00 PM Central, within two business days from today.

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The VISA® or MasterCard® card information provided on this form is my personal card, or I am an authorized user for my company. Credit and debit cards will be processed as credit cards, and The Moody Bible Institute will make a monthly charge of ${{amount}} from this card. The first AutoGift withdrawal will be today, which is my authorization date. Beginning next month on the {{chargeDate}}, an automatic monthly charge will be made and will continue until I request for it to stop. An email notification will be sent to me after each automatic monthly recurring charge. This e-mail will come from autogift@moodycommunications.org. To make any changes, or cancel this payment transaction, e-mail DRM@moody.edu or call 877/376-2194.

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